The holder whose full name is Souers, James Michael,come from BEECH GROVE IN,hold the CSR-Dentist license(NO.12007664B) which status is Active.
| Name | Souers, James Michael |
|---|---|
| License Number | 12007664B |
| License Type | CSR-Dentist |
| License Status | Active |
| City | BEECH GROVE |
| State | IN |